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Proof of Insurance
TIMBERWOOD CABIN PROOF OF INSURANCE REQUIREMENT FORM
All productions, including film, television, photography, influencer content, commercials, cooking shows, corporate meetings, and other media projects, must provide proof of insurance and damage waiver coverage before finalizing a reservation at Timberwood Cabin.
1. Renter Information : Legal full name
(Required)
Renter Authorized / Representative
Last
Insurance Company Name
Insurance Policy #
Email
Enter Email
Confirm Email
2. INSURANCE REQUIREMENT DETAILS / check all that applies
(Required)
Minimum Coverage Amount: $1,000,000 USD if applicable
Timberwood Cabin must be listed as an additional insured party on the policy.
The Certificate of Insurance (COI) must be submitted before the scheduled reservation date and payment.
Damage Waiver Coverage a must for every reservation
If the insurance and/or coverage is not provided, the reservation will not be confirmed and access to the property will be denied.
3. Insurance Provider Details
(Required)
Insurance Company Name
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Policy Number
Policy Expiration Date
Insurance Provider Contact
Provider Phone #
4. POLICY INCLUSIONS
(Required)
The policy covers general liability, property damage, and third-party liability.
The policy includes a minimum of $1,000,000 in coverage for liability protection.
Timberwood Cabin is listed as an additional insured party on the policy.
The policy is valid for the entire duration of the reservation.
A copy of the Certificate of Insurance (COI) is attached/uploaded to this form.
5. CERTIFICATION & AGREEMENT
(Required)
I certify that the information provided above is accurate and that I have obtained the required insurance coverage as outlined in this document.
I understand that failure to provide proof of insurance will result in my reservation not being confirmed.
I agree to indemnify and hold harmless Timberwood Cabin and its owners from any liability claims, damages, or losses that may occur during my rental period.
SUBMISSION INSTRUCTION
Please complete form, Upload your Certificate of Insurance (COI) and then sign and submit for review. Reservations will only be approved after insurance verification is completed. For any questions, please contact us.
Renter / Authorized Representative Signature
(Required)
File
(Required)
Max. file size: 1,000 MB.
Date
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.
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